Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

STAPLER 45 INSTRUMENT ENDO

Facility

$35,000.00

Hospital Charge Code	270674974
Hospital Revenue Code	272
Min. Negotiated Rate	$994.00
Max. Negotiated Rate	$17,500.00
Rate for Payer: Aetna Commercial	$13,300.00
Rate for Payer: Aetna Medicare Advantage	$10,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,925.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,925.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8,925.00
Rate for Payer: Cigna Commercial	$17,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,100.00
Rate for Payer: Oxford Commercial	$7,000.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,250.00
Rate for Payer: UnitedHealthcare Commercial	$7,000.00
Rate for Payer: UnitedHealthcare Community & State	$1,106.00
Rate for Payer: Wellpoint Medicaid Managed Care	$994.00

STAPLER 45 MM BLACK ENDO GIA

Facility

$3,776.81

Hospital Charge Code	270691807
Hospital Revenue Code	272
Min. Negotiated Rate	$566.52
Max. Negotiated Rate	$566.52
Rate for Payer: Qualcare PPO/HMO/WC	$566.52

STAPLER 45 MM BLACK ENDO GIA

Facility

$3,776.81

Hospital Charge Code	270691807
Hospital Revenue Code	272
Min. Negotiated Rate	$107.26
Max. Negotiated Rate	$1,888.40
Rate for Payer: Aetna Commercial	$1,435.19
Rate for Payer: Aetna Medicare Advantage	$1,133.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$963.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$963.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$963.09
Rate for Payer: Cigna Commercial	$1,888.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$981.97
Rate for Payer: Oxford Commercial	$755.36
Rate for Payer: Qualcare PPO/HMO/WC	$566.52
Rate for Payer: UnitedHealthcare Commercial	$755.36
Rate for Payer: UnitedHealthcare Community & State	$119.35
Rate for Payer: Wellpoint Medicaid Managed Care	$107.26

STAPLER 60 MM PUPLE

Facility

$3,471.52

Hospital Charge Code	270691806
Hospital Revenue Code	272
Min. Negotiated Rate	$520.73
Max. Negotiated Rate	$520.73
Rate for Payer: Qualcare PPO/HMO/WC	$520.73

STAPLER 60 MM PUPLE

Facility

$3,471.52

Hospital Charge Code	270691806
Hospital Revenue Code	272
Min. Negotiated Rate	$98.59
Max. Negotiated Rate	$1,735.76
Rate for Payer: Aetna Commercial	$1,319.18
Rate for Payer: Aetna Medicare Advantage	$1,041.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$885.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$885.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$885.24
Rate for Payer: Cigna Commercial	$1,735.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$902.60
Rate for Payer: Oxford Commercial	$694.30
Rate for Payer: Qualcare PPO/HMO/WC	$520.73
Rate for Payer: UnitedHealthcare Commercial	$694.30
Rate for Payer: UnitedHealthcare Community & State	$109.70
Rate for Payer: Wellpoint Medicaid Managed Care	$98.59

STAPLER APPOSE ULC SKIN 35MM

Facility

$35.56

Hospital Charge Code	270698006
Hospital Revenue Code	272
Min. Negotiated Rate	$1.01
Max. Negotiated Rate	$17.78
Rate for Payer: Aetna Commercial	$13.51
Rate for Payer: Aetna Medicare Advantage	$10.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.07
Rate for Payer: Cigna Commercial	$17.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.25
Rate for Payer: Oxford Commercial	$7.11
Rate for Payer: Qualcare PPO/HMO/WC	$5.33
Rate for Payer: UnitedHealthcare Commercial	$7.11
Rate for Payer: UnitedHealthcare Community & State	$1.12
Rate for Payer: Wellpoint Medicaid Managed Care	$1.01

STAPLER APPOSE ULC SKIN 35MM

Facility

$35.56

Hospital Charge Code	270698006
Hospital Revenue Code	272
Min. Negotiated Rate	$5.33
Max. Negotiated Rate	$5.33
Rate for Payer: Qualcare PPO/HMO/WC	$5.33

STAPLER ARTICULATING 60 MM END

Facility

$2,886.96

Hospital Charge Code	270691809
Hospital Revenue Code	272
Min. Negotiated Rate	$81.99
Max. Negotiated Rate	$1,443.48
Rate for Payer: Aetna Commercial	$1,097.04
Rate for Payer: Aetna Medicare Advantage	$866.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$736.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$736.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$736.17
Rate for Payer: Cigna Commercial	$1,443.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$750.61
Rate for Payer: Oxford Commercial	$577.39
Rate for Payer: Qualcare PPO/HMO/WC	$433.04
Rate for Payer: UnitedHealthcare Commercial	$577.39
Rate for Payer: UnitedHealthcare Community & State	$91.23
Rate for Payer: Wellpoint Medicaid Managed Care	$81.99

STAPLER ARTICULATING 60 MM END

Facility

$2,886.96

Hospital Charge Code	270691809
Hospital Revenue Code	272
Min. Negotiated Rate	$433.04
Max. Negotiated Rate	$433.04
Rate for Payer: Qualcare PPO/HMO/WC	$433.04

STAPLER ATC ENDO35 3.5BL ATB35

Facility

$1,206.90

Hospital Charge Code	270608735
Hospital Revenue Code	272
Min. Negotiated Rate	$34.28
Max. Negotiated Rate	$603.45
Rate for Payer: Aetna Commercial	$458.62
Rate for Payer: Aetna Medicare Advantage	$362.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$307.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$307.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$307.76
Rate for Payer: Cigna Commercial	$603.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$313.79
Rate for Payer: Oxford Commercial	$241.38
Rate for Payer: Qualcare PPO/HMO/WC	$181.03
Rate for Payer: UnitedHealthcare Commercial	$241.38
Rate for Payer: UnitedHealthcare Community & State	$38.14
Rate for Payer: Wellpoint Medicaid Managed Care	$34.28

STAPLER ATC ENDO35 3.5BL ATB35

Facility

$1,206.90

Hospital Charge Code	270608735
Hospital Revenue Code	272
Min. Negotiated Rate	$181.03
Max. Negotiated Rate	$181.03
Rate for Payer: Qualcare PPO/HMO/WC	$181.03

STAPLER BLUE RELOAD FOR ECH 60

Facility

$711.74

Hospital Charge Code	270661372
Hospital Revenue Code	272
Min. Negotiated Rate	$106.76
Max. Negotiated Rate	$106.76
Rate for Payer: Qualcare PPO/HMO/WC	$106.76

STAPLER BLUE RELOAD FOR ECH 60

Facility

$711.74

Hospital Charge Code	270661372
Hospital Revenue Code	272
Min. Negotiated Rate	$20.21
Max. Negotiated Rate	$355.87
Rate for Payer: Aetna Commercial	$270.46
Rate for Payer: Aetna Medicare Advantage	$213.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$181.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$181.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$181.49
Rate for Payer: Cigna Commercial	$355.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$185.05
Rate for Payer: Oxford Commercial	$142.35
Rate for Payer: Qualcare PPO/HMO/WC	$106.76
Rate for Payer: UnitedHealthcare Commercial	$142.35
Rate for Payer: UnitedHealthcare Community & State	$22.49
Rate for Payer: Wellpoint Medicaid Managed Care	$20.21

STAPLER CANNULA KIT

Facility

$10,150.00

Hospital Charge Code	270674975
Hospital Revenue Code	272
Min. Negotiated Rate	$288.26
Max. Negotiated Rate	$5,075.00
Rate for Payer: Aetna Commercial	$3,857.00
Rate for Payer: Aetna Medicare Advantage	$3,045.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,588.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,588.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,588.25
Rate for Payer: Cigna Commercial	$5,075.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,639.00
Rate for Payer: Oxford Commercial	$2,030.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,522.50
Rate for Payer: UnitedHealthcare Commercial	$2,030.00
Rate for Payer: UnitedHealthcare Community & State	$320.74
Rate for Payer: Wellpoint Medicaid Managed Care	$288.26

STAPLER CANNULA KIT

Facility

$10,150.00

Hospital Charge Code	270674975
Hospital Revenue Code	272
Min. Negotiated Rate	$1,522.50
Max. Negotiated Rate	$1,522.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,522.50

STAPLER CANNULA REDUCER 12-8MM

Facility

$750.00

Hospital Charge Code	270675204
Hospital Revenue Code	272
Min. Negotiated Rate	$21.30
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$285.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$195.00
Rate for Payer: Oxford Commercial	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Commercial	$150.00
Rate for Payer: UnitedHealthcare Community & State	$23.70
Rate for Payer: Wellpoint Medicaid Managed Care	$21.30

STAPLER CANNULA REDUCER 12-8MM

Facility

$750.00

Hospital Charge Code	270675204
Hospital Revenue Code	272
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

STAPLER CANNULA SEAL ENDO

Facility

$1,000.00

Hospital Charge Code	270674978
Hospital Revenue Code	272
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

STAPLER CANNULA SEAL ENDO

Facility

$1,000.00

Hospital Charge Code	270674978
Hospital Revenue Code	272
Min. Negotiated Rate	$28.40
Max. Negotiated Rate	$500.00
Rate for Payer: Aetna Commercial	$380.00
Rate for Payer: Aetna Medicare Advantage	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$255.00
Rate for Payer: Cigna Commercial	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$260.00
Rate for Payer: Oxford Commercial	$200.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00
Rate for Payer: UnitedHealthcare Commercial	$200.00
Rate for Payer: UnitedHealthcare Community & State	$31.60
Rate for Payer: Wellpoint Medicaid Managed Care	$28.40

STAPLER CEEA PREMIUM 28 BLUE

Facility

$1,709.35

Hospital Charge Code	270658675
Hospital Revenue Code	272
Min. Negotiated Rate	$256.40
Max. Negotiated Rate	$256.40
Rate for Payer: Qualcare PPO/HMO/WC	$256.40

STAPLER CEEA PREMIUM 28 BLUE

Facility

$1,709.35

Hospital Charge Code	270658675
Hospital Revenue Code	272
Min. Negotiated Rate	$48.55
Max. Negotiated Rate	$854.67
Rate for Payer: Aetna Commercial	$649.55
Rate for Payer: Aetna Medicare Advantage	$512.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$435.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$435.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$435.88
Rate for Payer: Cigna Commercial	$854.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$444.43
Rate for Payer: Oxford Commercial	$341.87
Rate for Payer: Qualcare PPO/HMO/WC	$256.40
Rate for Payer: UnitedHealthcare Commercial	$341.87
Rate for Payer: UnitedHealthcare Community & State	$54.02
Rate for Payer: Wellpoint Medicaid Managed Care	$48.55

STAPLER CIRCULAR CRVD 25MM

Facility

$2,834.28

Hospital Charge Code	270641757
Hospital Revenue Code	272
Min. Negotiated Rate	$80.49
Max. Negotiated Rate	$1,417.14
Rate for Payer: Aetna Commercial	$1,077.03
Rate for Payer: Aetna Medicare Advantage	$850.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$722.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$722.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$722.74
Rate for Payer: Cigna Commercial	$1,417.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$736.91
Rate for Payer: Oxford Commercial	$566.86
Rate for Payer: Qualcare PPO/HMO/WC	$425.14
Rate for Payer: UnitedHealthcare Commercial	$566.86
Rate for Payer: UnitedHealthcare Community & State	$89.56
Rate for Payer: Wellpoint Medicaid Managed Care	$80.49

STAPLER CIRCULAR CRVD 25MM

Facility

$2,834.28

Hospital Charge Code	270641757
Hospital Revenue Code	272
Min. Negotiated Rate	$425.14
Max. Negotiated Rate	$425.14
Rate for Payer: Qualcare PPO/HMO/WC	$425.14

STAPLER CIRCULAR CRVD 29MM

Facility

$1,302.35

Hospital Charge Code	270608743
Hospital Revenue Code	272
Min. Negotiated Rate	$195.35
Max. Negotiated Rate	$195.35
Rate for Payer: Qualcare PPO/HMO/WC	$195.35

STAPLER CIRCULAR CRVD 29MM

Facility

$1,302.35

Hospital Charge Code	270608743
Hospital Revenue Code	272
Min. Negotiated Rate	$36.99
Max. Negotiated Rate	$651.17
Rate for Payer: Aetna Commercial	$494.89
Rate for Payer: Aetna Medicare Advantage	$390.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$332.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$332.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$332.10
Rate for Payer: Cigna Commercial	$651.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$338.61
Rate for Payer: Oxford Commercial	$260.47
Rate for Payer: Qualcare PPO/HMO/WC	$195.35
Rate for Payer: UnitedHealthcare Commercial	$260.47
Rate for Payer: UnitedHealthcare Community & State	$41.15
Rate for Payer: Wellpoint Medicaid Managed Care	$36.99

Know your out-of-pocket cost for care.

All Charges